论文部分内容阅读
目的:探讨管状胃经主动脉弓后行食管胃胸内吻合术的可行性及临床价值。方法:回顾性分析2007年3月至2014年5月之间在海军总医院胸外科接受管状胃经主动脉弓后术式的食管癌患者的手术过程,术中风险及术后并发症发生率数据。结果:共有303例患者接受管状胃经主动脉弓后行胃食管胸内吻合术。手术实施过程顺利,手术历时平均2.0h,术中出血平均170ml。术后并发症发生率53例(17.5%),无围手术期死亡发生。患者术后平均住院时间8.6d。结论:管状胃经主动脉弓后行食管胃胸内吻合术是一种简便、易行、安全的手术方式。
Objective: To investigate the feasibility and clinical value of esophageal and gastric anastomosis in the treatment of tubular gastric aorta. Methods: The data of surgical procedure, intraoperative risks and incidence of postoperative complications in patients with esophageal cancer undergoing atrioventricular and aortic arch surgery at the Department of Thoracic Surgery, Naval General Hospital from March 2007 to May 2014 were retrospectively analyzed. RESULTS: A total of 303 patients underwent gastro-esophageal thoracic anastomosis after aortic arch of the tubular stomach. Surgery implementation process smoothly, surgery lasted an average of 2.0h, intraoperative bleeding average 170ml. Postoperative complications occurred in 53 cases (17.5%) without perioperative deaths. The average postoperative hospital stay was 8.6 days. Conclusion: The tube-shaped stomach through the aortic arch posterior esophageal and stomach anastomosis is a simple, easy and safe operation.